摘要
目的研究DWI-MRI联合钼靶对乳腺病变良恶性的鉴别价值。方法选择本院2018年6月到2020年6月120例乳腺病变良恶性患者作为研究对象,根据其病理检查结果,分析患者采取钼靶、DWI-MRI、DWI-MRI联合钼靶检查的敏感度、特异度、阳性预测值、阴性预测值、准确率。结果病理检查结果显示,120例患者中乳腺良性病变72例,乳腺恶性病变48例。DWI-MRI良性病变的ADC值为(1.425±0.314)×10^-3mm^2/s,显著高于恶性病变的ADC值[(0.917±0.206)×10^-3mm^2/s,差异有统计学意义(P<0.05)]。以病理检查结果为标准,钼靶检查的敏感度、特异度、阳性预测值、阴性预测值、准确率分别为68.75%(33/48)、83.33%(60/72)、73.33%(33/45)、80.00%(60/75)、77.50%(93/120);DWI-MRI检查的敏感度、特异度、阳性预测值、阴性预测值、准确率分别为77.08%(37/48)、87.50%(63/72)、80.43%(37/46)、85.14%(63/74)、83.33%(100/120);DWI-MRI联合钼靶检查的敏感度、特异度、阳性预测值、阴性预测值、准确率分别为91.67%(44/48)、93.06%(67/72)、89.80%(44/49)、94.37%(67/71)、92.50%(111/120)。结论DWI-MRI联合钼靶检查比单纯钼靶或DWI-MRI检查的临床价值更高,可有效提高乳腺病变良恶性诊断的精确率。
Objective To study the value of DWI-MRI combined with molybdenum target in the differentiation of benign and malignant breast lesions.Methods A total of 120 cases of benign and malignant breast lesions in our hospital from June 2018 to June 2020 were selected as the study subjects.According to the results of the pathological examination,mammography,DWI-MRI,DWI-MRI combined with mammography are used to check sensitivity,specificity,positive predictive value,negative predictive value,and accuracy.Results Pathological examination results showed that among 120 patients,72 were benign breast lesions and 48 were malignant breast lesions.The ADC value of DWI-MRI benign lesions is(1.425±0.314)×10-3mm2/s,which is significantly higher than that of malignant lesions(0.917±0.206)×10-3mm2/s.The difference is statistically significant(P<0.05).Taking pathological examination results as the standard,the sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of mammography checked by molybdenum target examination was 68.75%(33/48),83.33%(60/72),73.33%(33/45),80.00%(60/75),77.50%(93/120).The sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of mammography checked by DWI-MRI were 77.08%(37/48),87.50%(63/72),80.43%(37/46),85.14%(63/74),83.33%(100/120).The sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of mammography checked by DWI-MRI combined molybdenum target were 91.67%(44/48),93.06%(67/72),89.80%(44/49),94.37%(67/71)、92.50%(111/120).Conclusion DWI-MRI combined with mammography examination has a higher clinical value than pure mammography or DWI-MRI examination,and can effectively improve the accuracy of the diagnosis of benign and malignant breast lesions.
作者
杨玲
胡少平
陆成龙
喻杰
梁波
YANG Ling;HU Shao-ping;LU Cheng-long;YU Jie;LIANG Bo(Department of Radiology,Wuhan Red Cross Hospital,Wuhan 430015,Hubei Province,China;Department of Radiology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei Province,China)
出处
《中国CT和MRI杂志》
2021年第2期87-89,111,共4页
Chinese Journal of CT and MRI
